On The Couch… Weekend Reading
4 CommentsBy Ed Silverman // November 4th, 2007 // 8:56 am
Taking a drive in the country later? Plan on raking all those leaves? Going shopping with the kids? Paying bills? All of the above? Perhaps we left something out. But what better time to unwind than a weekend afternoon? Catch up on some events, though, before you get busy. And whatever you do later, we hope you enjoy the day…
Lipitor may be getting squeezed by generic Zocor, Pfizer is not letting its flagship drug go down without a fight, The New York Times reports. The drugmaker has mounted a campaign that includes advertisements, lobbying efforts and a paid speaking tour by a former secretary of the federal Department of Health and Human Services. Pfizer is also promoting a study - which is questioned by many experts - that concluded UK patients who switched to simvastatin had more heart attacks and deaths than those who remained on Lipitor. The battle has become a test of the pharma’s ability to defend name brands, even as insurers, patients and doctors seek to whittle the nation’s $270 billion annual prescription drug bill by using generic alternatives whenever possible. UPDATE: If you’d like to watch a TV news clip about the Michigan insurer that pays docs to switch, visit this link.
As concerns have grown about the increase in drug-resistant and potentially deadly bacterial infections, the pharmaceutical pipeline for new antibiotics has been drying up, writes The Star-Ledger of New Jersey (which owns Pharmalot). Faced with high research costs and greater profits to be made from other types of medications, many big drugmakers began abandoning the field of antibiotic development years ago. This has resulted in a significant slowdown in the introduction of new antibiotics now needed to protect the public health. “Right now, the outlook is grim. We have hit rock bottom. There are not enough drugs for our current needs,” says Brad Spellberg, an assistant professor at the UCLA School of Medicine and an infectious-disease specialist. “The consequence is that we will increasingly see drug-resistant infections we can’t treat.”
Fido and Fluffy are fodder for pharma. Pets are big business these days for drugmakers. The pet industry, which spans everything from supplies to veterinary services, is expected to balloon to nearly $43 billion this year. This includes spending on veterinary care, which is projected to reach up to $9.8 billion, and another $9.9 billion on supplies, a category that encompasses over-the-counter meds. Meanwhile, there’s a steady increase in sales of prescriptions to keep the beasts healthy. Mike Dillon, a pet industry consultant, tells The Star-Ledger of New Jersey, that he’s coined a phrase for the dramatic levels of spending by U.S. pet owners - “the humanizing of pets…Americans are increasing their spending in all segments - luxury products, food, health. That’s driving the entire industry.” And as Philly Inc. points out, Merck has just created a spin-off - the Merck/Merial Manual for Pet Health - from its venerable health glossaries, the Merck Manual and the Merck Veterinary Manual.
Hank
Obviously, there is a lot of “meat” in this story. Personally, I liked Jarvik rowing and hanging out with his heart better than seeing him out for a run with his kid. But that’s not the meat. That’s the potatoes.
I’m wondering what folks think about Blue Care Network paying docs $100 for every patient they switch to a generic. I understand formularies, etc.. But how common (and, in your view, ethically/medically kosher) is direct cash payment to docs each time they change a pt’s rx?
Call me Naive….The last time I invented an artificial heart was when I pretended to enjoy a wedding my wife insisted we go to.
Paul Joannides
Regarding Fido and Fluffy, you forget Bessie the Cow, Porky the Pig and Donald Duck. Estimates of anti-microbials in livestock and poultry food have been as high as 24 million pounds a year, although the numbers in poultry have been going down as some of the bigger food chains have boycotted poultry where antibiotics are routinely put in the food as way of promoting growth.
(I was shocked to find antibiotics in the food we use for our ducks and geese, but there it was, as much a staple as cracked corn.)
Also, while Europe banned the routine use of antibiotics in livestock food for the promotion of growth in 2006, a bill to do so in the US has yet to make it out of congress (H.R. 962: Preservation of Antibiotics for Medical Treatment Act of 2007).
Ed Silverman
Hi Hank,
The story about the payments to docs for switching has been out there awhile. Take a look at the video about this and the reaction…
http://www.pharmalot.com/2007/08/the-kickback-insurer-payments-to-docs/
Cheers
ed
Hank
Thanks, Ed! Yes, now that you cue me, I remember that some people raised the issue here in our beloved Michigan (featured in clip), and some even suggested that one of the reasons Pfizer left the state was because our formularies and docs were “taking the take.”
I would love to see answers to the following poll questions:
1. How many pts have _ever_ been told by their docs that they were getting a personal kickback for switching an rx?
2. How many pts have ever asked their docs whether or not that was the case?